ArticleBMC geriatrics2021
The association between caregiver burden, distress, psychiatric morbidity and healthcare utilization among persons with dementia in Singapore.
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 33 citations in OpenAlex.
- Experiences and coping strategies of family caregivers caring for people with behavioural and psychological symptoms of dementia: a systematic review of qualitative studies.International journal of nursing studies advances · 2026Review
- From Overload to Understanding: How Caregivers Experience and Use Information in Dementia Counselling.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2026Article
- Factors Associated with the Need for Support Among Informal Caregivers During Prolonged Hospitalization.Healthcare (Basel, Switzerland) · 2026Article
- Caregivers' burden and psychiatric morbidity among informal caregivers of older adults: results from a national survey.BMC geriatrics · 2026Article
- Assessing the health-related quality of life in informal caregivers of Alzheimer's Disease: evidence from Malaysia.BMC palliative care · 2025Article
- Caregiver Burden and 30-Day Emergency Department Revisits.JAMA network open · 2025Article
- Healthcare and Community Organizations Implementing Evidence-Based Dementia Caregiving Programs: Findings From Best Programs for Caregiving.The Gerontologist · 2025Article
- Caregiver burden of Alzheimer's disease among informal caregivers: a cross-sectional study in Malaysia.Scientific reports · 2025Article
- Impact of Kolb's experiential learning theory-based nursing on caregiver burden and psychological state of caregivers of dementia patients.Open medicine (Warsaw, Poland) · 2025Article
- Developing a theory of change to guide the design and implementation of a caregiver-centric support service.BMC health services research · 2024Observational
- Population-level trends in self-reported healthcare utilization among older adults in Mexico with and without cognitive impairment.BMC geriatrics · 2024Article
- More competent informal caregivers reduce advanced cancer patients' unplanned healthcare use and costs.Cancer medicine · 2024Article
- Article
- Applying the RE-AIM framework to evaluate a holistic caregiver-centric hospital-to-home programme: a feasibility study on Carer Matters.BMC health services research · 2022Observational
- Delivering a holistic hospital-to-home framework to support family caregivers of persons with dementia: Protocol for a feasibility study.Journal of advanced nursing · 2022Article
- Negative and positive experiences of caregiving among family caregivers of older blunt trauma patients.PloS one · 2022Article
- Exploring the Feasibility of a Caregiver Burden-Mastery Hybrid Assessment Tool With Decision Matrix in a Memory Clinic: A Multimethod Study.SAGE open nursingArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundCaregivers of persons with dementia (PWD) face high caregiving burden, distress related to responsive behaviours, and psychiatric morbidity. The present paper examines how these are associated with healthcare utilization of the PWD in Singapore.
methodsThe data of 399 caregiver-PWD dyads were extracted from a national cross-sectional survey. PWD completed the Client Service Receipt Inventory, which provided information on their healthcare utilization (i.e. emergency service use, hospital admission, length of stay in hospital, and number of outpatient visits) within a frame of 3 months. The Zarit Burden Interview (ZBI), Neuropsychiatric Inventory Questionnaire (NPI-Q), and Self Reporting Questionnaire (SRQ-20) were administered to caregivers. Information on severity of dementia, physical multimorbidity of the PWD, household composition, and caregivers' sociodemographic characteristics such as age, gender, and education were collected. Variables significantly associated with healthcare utilization in the univariate analyses were selected and included in the final regression models. Emergency service use and hospital admission were investigated using logistic regression analyses, whilst negative binomial models were utilized for length of stay in hospital and number of outpatient visits.
resultsAfter adjusting for significant correlates such as dementia severity and multimorbidity, only caregiver distress from responsive behaviours was positively associated with emergency room utilization, while caregiver burden was positively associated with length of hospital stay in the final regression model. Psychiatric morbidity was associated with healthcare utilization outcomes at the univariate level but did not reach statistical significance in final models.
conclusionThe study identifies caregiver variables associated with the healthcare utilization of PWD. Policy makers and healthcare professionals should provide interventions to ease burden and distress amongst caregivers of PWD.
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